Individual
CASSANDRA JOSEPHINE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
6608 BOUGHTON HILL RD, VICTOR, NY 14564-9333
(585) 440-6622
Mailing address
560 W NORTH ST APT F, GENEVA, NY 14456-1364
(315) 719-2396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04200040
NY
Other
Enumeration date
05/30/2021
Last updated
05/30/2021
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